Doctor profile · Federal record
Dr. Roderick Kelly, PA
Physician Assistant · Physician Assistant · Fort Polk, LA
- NPI 1275637472
- MIPS 83.0 / 100 · 2023
- 26 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
1585 3Rd St
Fort Polk, LA 714595102
(337) 531-3011 - Additional location
-
1509 W Loop 281, Suite 2-B
Longview, TX 756042820
(903) 759-9355 - Additional location
-
800 E Dawson St
Tyler, TX 757012036
(903) 606-4262 - Additional location
-
1549 E 70Th St Ste 300
Shreveport, LA 711055056
(318) 300-3898
fax (318) 797-4241 - Mailing address
-
1509 W Loop 281 Ste 2-B
Longview, TX 756042820
Show 1 more location
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- September 16, 2025
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Texas #PA02232 · Louisiana #PA200615
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275637472. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
137
Distinct HCPCS
5
Medicare allowed
$11,959
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 45 | 42 | $55 | |
99284 |
Emergency department visit with moderate level of medical decision making | 33 | 33 | $103 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 26 | 24 | $81 | |
99285 |
Emergency department visit with high level of medical decision making | 21 | 21 | $150 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $69 |
In context: peer comparison
Among 1 peers in Fort Polk Physician Assistant, average services per provider: 27. This provider delivers 5.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
339
Patients
333
Total drug cost
$2,262
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 45 | 45 | $156 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 38 | 36 | $402 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 35 | 35 | $111 |
| Ondansetron Hcl | Generic | 34 | 31 | $146 |
| Cephalexin | Generic | 33 | 33 | $221 |
| Ibuprofen | Generic | 26 | 26 | $121 |
| Azithromycin | Generic | 25 | 24 | $94 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 18 | 18 | $87 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 17 | 17 | $430 |
| Prednisone | Generic | 16 | 16 | $23 |
Hospital affiliations
Frequently asked questions
What is Dr. Roderick Kelly's medical specialty?
Dr. Roderick Kelly practices Physician Assistant in Fort Polk, LA.
Where does Dr. Roderick Kelly practice?
Dr. Roderick Kelly practices at 1585 3Rd St, Fort Polk, LA 714595102. Office phone: 3375313011.
What is Dr. Roderick Kelly's NPI?
Dr. Roderick Kelly's National Provider Identifier (NPI) is 1275637472, issued by NPPES.
Does Dr. Roderick Kelly accept Medicare assignment?
Dr. Roderick Kelly does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Roderick Kelly commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.